Permit LCITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00020
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/25/2008
PARCEL: 25101 DB -00100
SITE ADDRESS: 07340 SW HUNZIKER RD 200 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: NATIONAL SEMI CONDUCTOR
Project Description: interior plumbing
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: UNK FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
ROBINSON DEVELOPMENT
21360 NE AMBERWOOD DR Description Date Amount
HILLSBORO, OR 97124 [PLUMB] Permit Fee 1/25/2008 $72.50
•
[TAX] 12% State Surch 1/25/2008 $8.70
Phone : 503- 645 -8531 Total $81.20
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 639 -5296
FAX 503- 684 -9015
Reg #: LIC 2439
PLM 34 -29PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: G -U� Afjj..4X-- �Permittee Signature: 9-27 a ,‘„, .(- ` 4--
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
WESTERN PLUMBING 5036849015 01/01/96 04:30am P. 001
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Plumbing Permit Application tUUB / c-�
�I�N FOR OFFICE. USE ONLY
City of Tigard I lulA Received - f ;M
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13125 SW Half Blvd., Tigard, OR 9722 q�pp ppg�e t /R PennitNo.: ' ` g ocu 3
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Phone: 503.639.4171 Fax: 503.5981 �����'v�+ � ®1V1 � " ie
Date/By: Other Permit No.:� r
T I GARD Inspection Line: 503.639.4175 �/ Date Ready /By: )uric RI See Page 2 for c? ` xi www.tigard or.gov 8
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❑ New construction ❑ Demolition For special information use checklist.
Addition /alteration /replacement ❑ Other:
Description Qty. l Ea. Total
, „ e!1. „ New 1- 2- family dwellings (includes 1 ft. for each utility connection)
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❑ 1- and 2- family dwelling tgt Commercial /industrial SFR (2) bath 350.00
l:1 Accessory building ['Multi-family SFR (3) bath 399.00
Each additional bath/kitchen Master builder n 45.00
❑ Other: _
: ,,,,,,, r Fire sprinkler s sq. ft.
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Job site address: ";C N lJ, i -- `r*
_ C � CLXr .� , �?n \ n Catch basin or area drain 16.60
City /State /ZIP: • II Drywcll, leach line, or trench drain 16.60
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Suite /bldg. /apt. no.: Project name: ' Footing drain (no. linear ft.: ) Page 2
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Cross street /directions to job sic: /4 Manufactured home utilities 110.00
(- Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no, linear ft.: ) Page 2
Storm sewer (no. linear ft.:) Page 2
Subdivision: I Lot no,: Water service (no. linear ft.: _) Page 2
Tax map /parcel no.: Fixture or item
:; ^;=ta: ;a.r;a n "- "'_ ^ Absor tion valve
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Backwater valve • 16.60
\ '1n K \, `(--.. ,,-AJ washer 16.60
Dishwasher 16.60
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el• "' •'`"' " Drinkin fountain
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Name:
Ejectors /sump 16.60
, Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink/hub
16.60
Phone: ( ) Fax: ( ) Garbage disposal 16 60
:
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- bib
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Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name:
Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
elt Phone: ( ) F'ax' : ( ) asin /lavatory 1 16.60 16.100
E -mail:
Tub /shower /shower pan 16.60
;;,P, ?'..c ;al; ,.la,:.; , re•:• <; , ;!t!:;e'sa'•:.a:, , :::': ,,a.,: Urinal 16.60
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�•- �.is• t �,,:. �'S: 1 Ee�it,�`, ., h�`tf.ui:r...S.::(.k(: t•ililll�`sl`tl!: Ali _water 16.60
Business name: Western Numbing, Inc. Water heater 16.60
Address: 9460 SW Tigard Avenue, Suite 101 Other:
City /State /ZIP: Tigard, Oregon 97223 Subtotal > /O tic-)
Minimum permit fee: $72,50
Phone: (503) 639 -5296 Fax: (503) 684 -9015 Residential backflow minimum permit fee: $36.25 1.,..,,V
CCB Lie.: 2439 Plumbing Lie. no.: 3429P13 Plan review (25% of permit fee)
State s urc h ar g e ( 12% o fee)
Authorized signature
• A,e (. j q n� C �� + / t U
t� /J 1 Y11 TOTAL PERMIT FEE i r a
Print name: Dana Jensen Date: ' _ _ This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by 'I'ri- County Building Industry Service Board.
!:\But Iding\i'crtn its \Pd.M -Pct tntln pp. doc 06/26/05 440- 4616T(10 /02 /C'OM/W4B)
67 4/
CITY OF TIGARD .. . .
BUILDING DIVISION A _,
PERMIT #: puo2008.00020
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/200a
Phone: (503) 639-4171 iotio
Inspection Requests (24 Hrs.): (503) 639-4175 AA ti—
INSPECTION WORKSHEET FOR DATE: 2 1 1 5 / 2 0 08 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 07340 SW HUNZIKER RD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL SEMI CONDUCTOR
DESCRIPTION: i n t er i or pl
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503_645.863 i
CONTRACTOR: WESTERN PLUMBING PHONE #: 5m-639.5296
Inspection Request Scheduled For: Date: 7115/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 065060-01 503-209-8567 N
Corrections/Comments/Instructions:
L,..(_.....el fr
, PASS n PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
0 FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 01 1,R,---- Date: 2-I (Ct6 7) F? hone #: (503) 718-
— . -
`
CITY N������U�������% �
��n m n OF n nn�w��nn�� . / —
BUILDING DIVISION -
~�~°"~~~°.,~~" ~�"° "~~"~~"~ PERMIT #: pLhH1008-00020
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 105/2.008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ^"0t11■ ^l �
INSPECTION WORKSHEET FOR DATE: 108/2008 TIME: 7:00AK4 PAGE: 23
SITE ADDRESS: 07840SWHUNDKEQRD 200 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL SEMI CONDUCTOR
DESCRIPTION: interior plumbing
OWNER: ROBINSON DEVELOPMENT, PHONE #: 6�.?,
CONTRACTOR: VmES[ERNpLUMF3|MG PHONE #: 503-659'52%
Inspection Request Scheduled For: Date: 1/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Pk/mWngrouuh'\n 084053-01 503-539-5296
Corrections/Comments/Instructions:
.
0 PARTIAL APPROVAL 0CANCEL ri NO ACCESS
El FAIL 0 CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector: 0 i Date: ) rr \
� 7 8S^ Phone #: (503) 718-
.� \